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CORRESPONDENCE
Year : 2013  |  Volume : 138  |  Issue : 3  |  Page : 366

Gestational diabetes mellitus & associated risk factors


Department of Community Medicine, Dr Rajendra Prasad Government Medical College, Tanda Kangra 176 001, (Himachal Pradesh), India

Date of Web Publication8-Oct-2013

Correspondence Address:
Sunil K Raina
Department of Community Medicine, Dr Rajendra Prasad Government Medical College, Tanda Kangra 176 001, (Himachal Pradesh)
India
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Source of Support: None, Conflict of Interest: None


PMID: 24135184

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How to cite this article:
Raina SK. Gestational diabetes mellitus & associated risk factors. Indian J Med Res 2013;138:366

How to cite this URL:
Raina SK. Gestational diabetes mellitus & associated risk factors. Indian J Med Res [serial online] 2013 [cited 2020 Feb 26];138:366. Available from: http://www.ijmr.org.in/text.asp?2013/138/3/366/119378

Sir,

We read with interest the article on prevalence of gestational diabetes mellitus and associated risk factors at a tertiary care hospital in Haryana published recently [1] . As pointed out by the authors, as per an earlier study conducted at various centres across India the prevalence of gestational diabetes mellitus was found to be 16.55 per cent [2] . This makes gestational diabetes mellitus an important area for research. I have some reservations with the criteria used to define body mass index (BMI) in this study. The cut-offs used in this study are applicable to normal adult population and cannot be applied to pregnant women. It is expected that a pregnant women will gain weight due to pregnancy, which may affect her BMI. Therefore, BMI in pregnancy needs to be viewed in light of this weight gain. The following guidelines by Mayo Clinic can be considered before deciding on the status of obesity in pregnancy [3] .

The situation is further complicated in case of a twin pregnancy. Another area of concern is the universal use of Kuppuswamy scale for assessment of socio-economic status in study population without reflecting on the residential status of the study participants.



 
   References Top

1.Rajput R, Yadav Y, Nanda S, Rajput M. Prevalence of gestational diabetes mellitus & associated risk factors at a tertiary care hospital in Haryana. Indian J Med Res 2013; 137 : 728-33.  Back to cited text no. 1
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2.Seshiah V, Balaji V, Balaji MS, Sanjeevi CB, Green A. Gestational diabetes mellitus in India. J Assoc Physicians India 2004; 52 : 707-11.  Back to cited text no. 2
    
3.Pregnancy weight gain: What's healthy? Available from: www.mayoclinic.com, accessed on May 25, 2013.  Back to cited text no. 3
    




 

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